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BMC Psychiatry
Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Study protocol

Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol

Authors: Neil Thomas, John Farhall, Fiona Foley, Susan L. Rossell, David Castle, Emma Ladd, Denny Meyer, Cathrine Mihalopoulos, Nuwan Leitan, Cassy Nunan, Rosalie Frankish, Tara Smark, Sue Farnan, Bronte McLeod, Leon Sterling, Greg Murray, Ellie Fossey, Lisa Brophy, Michael Kyrios

Published in: BMC Psychiatry | Issue 1/2016

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Abstract

Background

Psychosocial interventions have an important role in promoting recovery in people with persisting psychotic disorders such as schizophrenia. Readily available, digital technology provides a means of developing therapeutic resources for use together by practitioners and mental health service users. As part of the Self-Management and Recovery Technology (SMART) research program, we have developed an online resource providing materials on illness self-management and personal recovery based on the Connectedness-Hope-Identity-Meaning-Empowerment (CHIME) framework. Content is communicated using videos featuring persons with lived experience of psychosis discussing how they have navigated issues in their own recovery. This was developed to be suitable for use on a tablet computer during sessions with a mental health worker to promote discussion about recovery.

Methods/Design

This is a rater-blinded randomised controlled trial comparing a low intensity recovery intervention of eight one-to-one face-to-face sessions with a mental health worker using the SMART website alongside routine care, versus an eight-session comparison condition, befriending. The recruitment target is 148 participants with a schizophrenia-related disorder or mood disorder with a history of psychosis, recruited from mental health services in Victoria, Australia. Following baseline assessment, participants are randomised to intervention, and complete follow up assessments at 3, 6 and 9 months post-baseline. The primary outcome is personal recovery measured using the Process of Recovery Questionnaire (QPR). Secondary outcomes include positive and negative symptoms assessed with the Positive and Negative Syndrome Scale, subjective experiences of psychosis, emotional symptoms, quality of life and resource use. Mechanisms of change via effects on self-stigma and self-efficacy will be examined.

Discussion

This protocol describes a novel intervention which tests new therapeutic methods including in-session tablet computer use and video-based peer modelling. It also informs a possible low intensity intervention model potentially viable for delivery across the mental health workforce.

Trial registration

NCT02474524, 24 May 2015, retrospectively registered during the recruitment phase.
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Metadata
Title
Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol
Authors
Neil Thomas
John Farhall
Fiona Foley
Susan L. Rossell
David Castle
Emma Ladd
Denny Meyer
Cathrine Mihalopoulos
Nuwan Leitan
Cassy Nunan
Rosalie Frankish
Tara Smark
Sue Farnan
Bronte McLeod
Leon Sterling
Greg Murray
Ellie Fossey
Lisa Brophy
Michael Kyrios
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-1024-1

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